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出境医 / 临床实验 / 测量和评估重复牙科治疗儿童焦虑水平的变化

测量和评估重复牙科治疗儿童焦虑水平的变化

Study Description
Brief Summary:
Dental anxiety is defined as the fear of terrible events during dental treatment and the loss of control.Anxiety may be related to adaptation of the patient to external factors in environment, so the adaptation of the pediatric patient to the stimuli in the dental environment may affect the level of anxiety.The aim of the this study was to evaluate the relationship between sequential visits in dental treatments and dental anxiety levels of pediatric patients with anxiety scales and physiological measurements.

Condition or disease Intervention/treatment
Dental Anxiety Procedure: Dental treatment

Detailed Description:

A total of 224 children aged 5-8 years who needed at least two restorative dental treatment of the mandibular first primary molar were included in the study.

In each sessions the Wong-Baker FACES Pain Rating Scale (W-BFRS) was used to evaluate the dental anxiety before and after the treatment.

The Modified Corah's Dental Anxiety Scale (MDAS) was used as a dental anxiety measurement method.

A portable finger pulse oximeter (Nellcor™ PMN10, Medtronic Corp. MN, USA) was used to measure the heart rate.

Data were statistically analyzed with the help of the Statistical Package for Social Sciences statistical software (SPSS 18.0), considering a 5% significance level. Nonparametric tests were used. Normality assumption was evaluated with the Kolmogorov Smirnov test. The association between two groups was analyzed by Wilcoxon Signed Rank Test.

Study Design
Layout table for study information
Study Type : Observational
Actual Enrollment : 224 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Measuring and Evaluating the Changes in Anxiety Levels of Children With Repetitive Sessions of Dental Treatments: A Retrospective Observational Cohort Study
Actual Study Start Date : March 1, 2020
Actual Primary Completion Date : July 30, 2020
Actual Study Completion Date : August 30, 2020
Arms and Interventions
Group/Cohort Intervention/treatment
First Visit
Children who visit dentist at first time
Procedure: Dental treatment
bilateral restorative treatment on the mandibular primary first molars

Second Visit
Children who visit dentist at second time
Procedure: Dental treatment
bilateral restorative treatment on the mandibular primary first molars

Outcome Measures
Primary Outcome Measures :
  1. Dental anxiety [ Time Frame: at the first dental visit, during two weeks ]
    The Modified Corah's Dental Anxiety Scale minimum 5 points maximum 25 points more than 15 points means patient have dental axiety .Higher points mean worse outcome

  2. Dental anxiety [ Time Frame: at the second dental visit, during two weeks ]
    The Modified Corah's Dental Anxiety Scale minimum 5 points maximum 25 points more than 15 points means patient have dental axiety .Higher points mean worse outcome


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   5 Years to 8 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
A total of 224 children aged 5-8 years who needed at least two restorative dental treatments of the mandibular first primary molar were included in the study. As the inclusion criteria, children with no mental disorders, with no past dental experience, hospitalization or invasive medical treatments, and no pain or symptom in their oral health. All included children and parents had to spoken and understood the Turkish language. Patients with chronic systemic illnesses that may affect the blood pressure or heart rate of a child were excluded from the study. Only children who required multiple-visit treatments were taken into consideration.
Criteria

Inclusion Criteria:

  • Children aged 5-8 years
  • Children who need at least two restorative dental treatments of the mandibular first primary molar

Exclusion Criteria:

  • Chronic systemic illnesses
  • Dental experience
  • Mental disorders
  • Invasive medical treatments
  • Hospitalization
  • Oral health problems with a painful history
Contacts and Locations

Locations
Layout table for location information
Turkey
Nurcan Kutluer Karaca
Erzincan, Turkey
Sponsors and Collaborators
Erzincan University
Tracking Information
First Submitted Date June 8, 2021
First Posted Date July 19, 2021
Last Update Posted Date July 19, 2021
Actual Study Start Date March 1, 2020
Actual Primary Completion Date July 30, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 16, 2021)
  • Dental anxiety [ Time Frame: at the first dental visit, during two weeks ]
    The Modified Corah's Dental Anxiety Scale minimum 5 points maximum 25 points more than 15 points means patient have dental axiety .Higher points mean worse outcome
  • Dental anxiety [ Time Frame: at the second dental visit, during two weeks ]
    The Modified Corah's Dental Anxiety Scale minimum 5 points maximum 25 points more than 15 points means patient have dental axiety .Higher points mean worse outcome
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Measuring and Evaluating the Changes in Anxiety Levels of Children With Repetitive Sessions of Dental Treatments
Official Title Measuring and Evaluating the Changes in Anxiety Levels of Children With Repetitive Sessions of Dental Treatments: A Retrospective Observational Cohort Study
Brief Summary Dental anxiety is defined as the fear of terrible events during dental treatment and the loss of control.Anxiety may be related to adaptation of the patient to external factors in environment, so the adaptation of the pediatric patient to the stimuli in the dental environment may affect the level of anxiety.The aim of the this study was to evaluate the relationship between sequential visits in dental treatments and dental anxiety levels of pediatric patients with anxiety scales and physiological measurements.
Detailed Description

A total of 224 children aged 5-8 years who needed at least two restorative dental treatment of the mandibular first primary molar were included in the study.

In each sessions the Wong-Baker FACES Pain Rating Scale (W-BFRS) was used to evaluate the dental anxiety before and after the treatment.

The Modified Corah's Dental Anxiety Scale (MDAS) was used as a dental anxiety measurement method.

A portable finger pulse oximeter (Nellcor™ PMN10, Medtronic Corp. MN, USA) was used to measure the heart rate.

Data were statistically analyzed with the help of the Statistical Package for Social Sciences statistical software (SPSS 18.0), considering a 5% significance level. Nonparametric tests were used. Normality assumption was evaluated with the Kolmogorov Smirnov test. The association between two groups was analyzed by Wilcoxon Signed Rank Test.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Retrospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population A total of 224 children aged 5-8 years who needed at least two restorative dental treatments of the mandibular first primary molar were included in the study. As the inclusion criteria, children with no mental disorders, with no past dental experience, hospitalization or invasive medical treatments, and no pain or symptom in their oral health. All included children and parents had to spoken and understood the Turkish language. Patients with chronic systemic illnesses that may affect the blood pressure or heart rate of a child were excluded from the study. Only children who required multiple-visit treatments were taken into consideration.
Condition Dental Anxiety
Intervention Procedure: Dental treatment
bilateral restorative treatment on the mandibular primary first molars
Study Groups/Cohorts
  • First Visit
    Children who visit dentist at first time
    Intervention: Procedure: Dental treatment
  • Second Visit
    Children who visit dentist at second time
    Intervention: Procedure: Dental treatment
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: July 16, 2021)
224
Original Actual Enrollment Same as current
Actual Study Completion Date August 30, 2020
Actual Primary Completion Date July 30, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Children aged 5-8 years
  • Children who need at least two restorative dental treatments of the mandibular first primary molar

Exclusion Criteria:

  • Chronic systemic illnesses
  • Dental experience
  • Mental disorders
  • Invasive medical treatments
  • Hospitalization
  • Oral health problems with a painful history
Sex/Gender
Sexes Eligible for Study: All
Ages 5 Years to 8 Years   (Child)
Accepts Healthy Volunteers Yes
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries Turkey
Removed Location Countries  
 
Administrative Information
NCT Number NCT04967300
Other Study ID Numbers Erzincan Binali Yıldırım U.
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party Nurcan Kutluer Karaca, Erzincan University
Study Sponsor Erzincan University
Collaborators Not Provided
Investigators Not Provided
PRS Account Erzincan University
Verification Date July 2021